Cancer Insurance
 

    Enrollment Form  (purchased during open enrollment only)

• Enrollment Form (printable)
   

    Cancer/Specified Disease Insurance Information and Additional Forms

1. General Information Booklet from Allstate  

2. Claim Form

   • Central United Claim Form

   • Hartford Wellness Claim Form

   • Hartford Disease & Intensive Care Claim Form

   • Allstate Claim Form

Phone Numbers

Allstate Cancer and Specific Disease,
Hartford Cancer and Specific Disease,
Fortis Benefits Insurance Co. (Disability)
Contact: Keith Noel
972.772.4755